NPIMap

Premier Provider Health PA

A Medicare group practice based in Fort Worth, TX: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2264531276), with 41 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264531276The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
1
Group size
30 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 12 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20070615000236 TX Part B Supplier - Clinic/Group Practice 1013397066

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 41

Clinicians who reassign their Medicare benefits to this group (41) or whom Care Compare lists as members (30).

Sources for this page